Initial Hospital Inpatient or Observation Care CPT® Code range 99221- 99223
The Current Procedural Terminology (CPT) code range for Initial Hospital Inpatient or Observation Care 99221-99223 is a medical code set maintained by the American Medical Association.
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Hospitals should use this tool to protect their profit margins. Diagnosisrelated group DRG validation ensures the accuracy of DRG assignment and payment for inpatient hospital stays. Since inpatient c... [ Read More ]
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Agree with [USER=5404]@thomas7331[/USER]. I will just add if you are billing for both providers using the "initial" inpatient 99221-99223, SOME carriers will only pay 1 provider for the "initial" an... [ Read More ]
[QUOTE="bill2doc, post: 520576, member: 95122"]
I'm still so confused on what codes to use. Been using 99221-99223 for inpt and 99218-99220 for Obs. Too much conflicting info to understand what I sh... [ Read More ]
I'm still so confused on what codes to use. Been using 99221-99223 for inpt and 99218-99220 for Obs. Too much conflicting info to understand what I should be using for 2023... [ Read More ]
Hi, thanks for the reply. I've read the AMA guidelines but they don't specify if the new merged codes (99221-99223, 99231-99233) can be used by a provider who is not the admitting physician. I did rec... [ Read More ]
[QUOTE="darcy-fortney@uiowa.edu, post: 517965, member: 745965"]
I am still unsure what place of service will be required as well. I have been investigating and reaching out to payers directly and mos... [ Read More ]
I have an inpatient claim with TOB 0111, denied requesting a corrected claim with a code explaining the same date discharge. The patient was admitted inpatient status at 14:50 and discharged at 17:35.... [ Read More ]
I have an inpatient claim with TOB 0111, denied requesting a corrected claim with a code explaining the same date discharge. The patient was admitted inpatient status at 14:50 and discharged at 17:35.... [ Read More ]
I'm studying for the CPC exam and according to the 2022 CPC study guide Coding Exam Review by Carol Buck, effective January 1, 2010 CMS no longer recognizes CPT consultation codes 99241-99245 and 992... [ Read More ]
[QUOTE="cmcevoy, post: 517224, member: 302459"]
I would say:
1/1 Dr A - Admission 99221-99223
1/2 Dr B - C-section 59514
1/3 Dr A - Subsequent hospital 99231-99233
1/4 Dr A - Discharge 99238-99239
If... [ Read More ]
I agree with the previous answer. If there's a non-facility payment for a code you should be in good shape. To build on that a bit, column H of the RVU excel sheet is the non-fac N/A indicator. Accord... [ Read More ]